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CASE VIGNETTE A Woman with Septic Shock Rebecca E. Berger, M.D. http://www.nejm.org/doi/full/10.1056/NEJMclde1705277#discussion Ms. Jones is a 65-year-old woman with a history of hypertension who presents to the emergency department with a 3-day history of chills and dysuria. The only medication she is taking is amlodipine, at a dose of 10 mg daily; she had had normal electrolyte levels and renal function at a routine visit 6 weeks earlier. On arrival at the emergency dep...
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IMAGES IN CLINICAL MEDICINE Mobile Aortic Thrombi Ville Sallinen, M.D., Ph.D., and Pirkka Vikatmaa, M.D., Ph.D. N Engl J Med 2017; 377:e2 July 13, 2017 DOI: 10.1056/NEJMicm1702263 An 85-year-old woman with essential thrombocytosis, coronary artery disease, and a remote history of venous thromboembolism presented with abdominal pain, fever, vomiting, and diarrhea. Physical examination revealed tenderness and guarding in the lower abdomen. Laboratory results showed a white-...
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[MEDSCAPE]: 隐匿性心脏病:你应当了解的19种皮肤表现(9/9)已关闭评论
Hidden Heart Disease: 19 Dermatologic Clues You Should Know Rashid M Rashid, MD, PhD; Brittany Sambrano Barros, MD | June 13, 2017 Image from Medscape. Patients with cardiac disease often present with manifestations on the skin. The above image, for example, shows a patient with sarcoidosis—a multisystem, inflammatory disease—presenting with lupus pernio, appearing as nodules on the nasal tip and sidewall. Cutaneous signs such as this can play a valuable role in guiding p...
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Hidden Heart Disease: 19 Dermatologic Clues You Should Know Rashid M Rashid, MD, PhD; Brittany Sambrano Barros, MD | June 13, 2017 Image from Medscape. Patients with cardiac disease often present with manifestations on the skin. The above image, for example, shows a patient with sarcoidosis—a multisystem, inflammatory disease—presenting with lupus pernio, appearing as nodules on the nasal tip and sidewall. Cutaneous signs such as this can play a valuable role in guiding p...
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Hidden Heart Disease: 19 Dermatologic Clues You Should Know Rashid M Rashid, MD, PhD; Brittany Sambrano Barros, MD | June 13, 2017 Image from Medscape. Patients with cardiac disease often present with manifestations on the skin. The above image, for example, shows a patient with sarcoidosis—a multisystem, inflammatory disease—presenting with lupus pernio, appearing as nodules on the nasal tip and sidewall. Cutaneous signs such as this can play a valuable role in guiding p...
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Hidden Heart Disease: 19 Dermatologic Clues You Should Know Rashid M Rashid, MD, PhD; Brittany Sambrano Barros, MD | June 13, 2017 Image from Medscape. Patients with cardiac disease often present with manifestations on the skin. The above image, for example, shows a patient with sarcoidosis—a multisystem, inflammatory disease—presenting with lupus pernio, appearing as nodules on the nasal tip and sidewall. Cutaneous signs such as this can play a valuable role in guiding p...
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Hidden Heart Disease: 19 Dermatologic Clues You Should Know Rashid M Rashid, MD, PhD; Brittany Sambrano Barros, MD | June 13, 2017 Image from Medscape. Patients with cardiac disease often present with manifestations on the skin. The above image, for example, shows a patient with sarcoidosis—a multisystem, inflammatory disease—presenting with lupus pernio, appearing as nodules on the nasal tip and sidewall. Cutaneous signs such as this can play a valuable role in guiding p...
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Hidden Heart Disease: 19 Dermatologic Clues You Should Know Rashid M Rashid, MD, PhD; Brittany Sambrano Barros, MD | June 13, 2017 Image from Medscape. Patients with cardiac disease often present with manifestations on the skin. The above image, for example, shows a patient with sarcoidosis—a multisystem, inflammatory disease—presenting with lupus pernio, appearing as nodules on the nasal tip and sidewall. Cutaneous signs such as this can play a valuable role in guiding p...
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Hidden Heart Disease: 19 Dermatologic Clues You Should Know Rashid M Rashid, MD, PhD; Brittany Sambrano Barros, MD | June 13, 2017 Image from Medscape. Patients with cardiac disease often present with manifestations on the skin. The above image, for example, shows a patient with sarcoidosis—a multisystem, inflammatory disease—presenting with lupus pernio, appearing as nodules on the nasal tip and sidewall. Cutaneous signs such as this can play a valuable role in guiding p...
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60-Year-Old Man with Non-resolving Pneumonia Submitted by Nicholas C. James, MD, Timothy N. Liesching, MD Department of Pulmonary and Critical Care Medicine Lahey Hospital & Medical Center Burlington, Massachusetts from https://www.thoracic.org/professionals/clinical-resources/clinical-cases/01-15.php History 病史 A 60 year-old man with a past medical history for coronary artery disease requiring four vessel coronary artery bypass grafting, hypertension, hyperlipidemi...
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